Active NPI 1356895197 Individual Practitioner Male Practitioner

Stephen P Prohaska , PA

Physician Assistant • Morganton, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephen Prohaska, PA is a certified Physician Assistant practicing in Morganton, NC. With approximately 10 years of clinical experience since completing medical education in 2016, Stephen Prohaska delivers high-quality medical care to the local community at 2209 S STERLING ST STE 600.

Stephen Prohaska maintains professional affiliations with Catawba Valley Medical Group Inc, Emergeortho Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2209 S Sterling St Ste 600

Morganton, NC 286554092

Telephone 8285804577

Fax 8285804599

Associated Practice Facility / Clinic

🏢 Blue Ridge Healthcare Medical Group, Inc. Facility NPI 1407188600

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Morganton, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -2.8 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Morganton, NC (9374 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prohaska (10 Years) 10 Yrs

Morganton Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	161	94	$47.00	$13.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	90	$441.00	$145.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	56	$338.04	$102.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	15	$5.00	$0.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	15	$49.00	$11.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$421.94	$135.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$540.00	$169.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	159	$280.88	$103.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	81	11	$4.01	$1.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	58	$396.84	$146.95
94726 Determination of lung volumes using plethysmography	64	64	$196.80	$43.74
94729 Test to examine how well the lungs exchange gases	61	61	$195.59	$45.52
99213 Established patient office or other outpatient visit, typically 15 minutes	58	49	$196.00	$73.25
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	48	16	$1.00	$0.04
94010 Test to measure expiratory airflow and volume	41	41	$129.22	$21.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$474.02	$136.41
94060 Test to measure expiratory airflow and volume changes before and after medication administration	25	25	$216.60	$31.13
94618 Test for exercise-induced lung stress	24	23	$123.50	$27.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$591.77	$180.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	162	$256.09	$104.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	30	$13.22	$1.14
94010 Test to measure expiratory airflow and volume	56	56	$68.50	$18.22
94726 Determination of lung volumes using plethysmography	55	55	$144.45	$34.58
94729 Test to examine how well the lungs exchange gases	50	50	$149.70	$36.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	38	$361.05	$144.91
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$189.57	$75.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$488.77	$136.03
94618 Test for exercise-induced lung stress	36	33	$107.19	$26.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	24	$69.06	$11.81
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	14	12	$79.21	$21.85
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$110.46	$28.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	224	42	$19.71	$1.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	136	$236.00	$107.89
99213 Established patient office or other outpatient visit, typically 15 minutes	95	79	$150.51	$76.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	35	$72.47	$11.76
94729 Test to examine how well the lungs exchange gases	44	44	$164.00	$48.55
94618 Test for exercise-induced lung stress	42	40	$110.00	$27.95
94726 Determination of lung volumes using plethysmography	42	42	$166.00	$44.77
94010 Test to measure expiratory airflow and volume	40	40	$72.00	$24.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$468.96	$140.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$361.78	$151.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$316.45	$93.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	116	$230.79	$90.37
99213 Established patient office or other outpatient visit, typically 15 minutes	117	86	$149.27	$62.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	19	$18.55	$1.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$456.59	$134.63
99442 Telephone medical discussion with physician, 11-20 minutes	39	37	$149.72	$62.38
94618 Test for exercise-induced lung stress	33	33	$118.64	$28.15
94729 Test to examine how well the lungs exchange gases	27	27	$179.96	$45.79
94060 Test to measure expiratory airflow and volume changes before and after medication administration	27	26	$122.00	$47.98
94726 Determination of lung volumes using plethysmography	26	26	$160.00	$43.65
94010 Test to measure expiratory airflow and volume	22	22	$72.00	$28.96
99441 Telephone medical discussion with physician, 5-10 minutes	19	18	$103.00	$37.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$329.76	$121.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$70.80	$11.77
94664 Evaluation of use of breathing device	14	14	$29.00	$13.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	513	90	$4.16	$1.64
99213 Established patient office or other outpatient visit, typically 15 minutes	237	191	$178.26	$60.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	92	$192.05	$88.47
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	79	60	$267.24	$82.35
94060 Test to measure expiratory airflow and volume changes before and after medication administration	57	55	$122.00	$47.97
20610 Aspiration and/or injection of fluid from large joint	54	49	$200.75	$54.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$260.80	$87.49
73030 X-ray of shoulder, minimum of 2 views	22	20	$150.91	$23.57
73564 X-ray of knee, 4 or more views	21	18	$173.57	$33.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$451.08	$134.61
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	12	$30.00	$12.22
94729 Test to examine how well the lungs exchange gases	17	17	$157.00	$44.40
94726 Determination of lung volumes using plethysmography	16	16	$158.00	$43.42
73502 X-ray of hip, 2-3 views	15	15	$93.48	$34.60
94618 Test for exercise-induced lung stress	14	14	$104.00	$27.96
73562 X-ray of knee, 3 views	12	12	$120.00	$29.94
94010 Test to measure expiratory airflow and volume	12	12	$72.00	$28.52
73560 X-ray of knee, 1-2 views	11	11	$101.00	$23.61
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$98.88	$29.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	809	115	$4.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	341	212	$199.14	$59.17
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	144	97	$263.90	$80.01
20610 Aspiration and/or injection of fluid from large joint	80	68	$182.73	$51.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg	64	14	$4.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$260.80	$85.60
73564 X-ray of knee, 4 or more views	52	41	$166.15	$31.71
73030 X-ray of shoulder, minimum of 2 views	49	40	$132.84	$22.87
73630 X-ray of foot, minimum of 3 views	39	24	$112.49	$23.49
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	37	20	$405.65	$136.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	30	$104.90	$35.51
73100 X-ray of wrist, 2 views	30	13	$85.14	$24.78
73502 X-ray of hip, 2-3 views	26	24	$93.48	$33.13
73610 X-ray of ankle, minimum of 3 views	26	13	$120.12	$23.81
73560 X-ray of knee, 1-2 views	25	19	$106.19	$24.16
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$98.88	$28.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$259.53	$87.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	364	70	$4.00	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	128	108	$199.14	$58.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	60	50	$240.75	$76.81
20610 Aspiration and/or injection of fluid from large joint	38	36	$194.51	$52.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$260.80	$87.44
73030 X-ray of shoulder, minimum of 2 views	26	23	$131.00	$23.18
73564 X-ray of knee, 4 or more views	23	21	$158.48	$31.65
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	22	15	$405.65	$144.37
73560 X-ray of knee, 1-2 views	18	15	$101.00	$24.52
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$98.88	$28.00
27447 Replacement of knee joint, both sides of knee	12	11	$1183.00	$177.81

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-06715

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1356895197 (NC)

Hospital & Practice Group Affiliations

Catawba Valley Medical Group Inc

2386 Springs Rd Ne, Hickory, NC 286013066

Phone: 8287325400

Emergeortho Pa

799 Doctors Ct, Roxboro, NC 275734571

Phone: 3365994079

Catawba Valley Medical Group Inc

50 Macedonia Church Rd A, Taylorsville, NC 286818414

Phone: 8287325300

Emergeortho Pa

503 E Parker Rd, Morganton, NC 286555104

Phone: 8284376500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Elie Fares , MD

Internal Medicine

NPI 1184145088

Doctor of Medicine (M.D.)

Andrea Pfeffer , PA-C

Physician Assistant

NPI 1255815163

Physician Assistant (Certified)

Dr. James Davidson , MD

Internal Medicine - Pulmonary Disease

NPI 1265744429

Doctor of Medicine (M.D.)

Dr. Thomas Kennedy , MD

Internal Medicine - Pulmonary Disease

NPI 1427139211

Doctor of Medicine (M.D.)

Dr. Simon Waghchoure , MD

Internal Medicine - Pulmonary Disease

NPI 1528214442

Doctor of Medicine (M.D.)

Nancy Goins , ANP-BC

Nurse Practitioner - Adult Health

NPI 1851645584

ANPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 12, 2019

Registered at 2209 S STERLING ST STE 600, MORGANTON, NC 286554092 (Tel: 8285804577)

📍

Updated Business Mailing Address April 12, 2019

Registered at 2209 S STERLING ST STE 600, MORGANTON, NC 286554092 (Tel: 8285804577)

✅

NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2016

Registered at 503 E PARKER RD, MORGANTON, NC 286555104 (Tel: 8284376500)

📍

Updated Business Mailing Address September 09, 2016

Registered at 503 E PARKER RD, MORGANTON, NC 286555104 (Tel: 8284376500)

👤

Provider Name / Credentials Updated September 09, 2016

Recorded as STEPHEN PROHASKA, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Physician Assistant (License #0010-06715 in NC)

🟢

Initial NPI Registration & Enumeration August 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356895197

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2016

Last Update: April 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2209 S Sterling St Ste 600

Morganton, NC 286554092

Phone: 8285804577

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.